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Provider 1982741096

NPI: 1982741096Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$11.6M

$11,598,846

Total Claims

213K

Beneficiaries

78K

2.7 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2018
$921K
+64%
2019
$1.5M
+10%
2020
$1.7M
+10%
2021
$1.8M
+4%
2022
$1.9M
+3%
2023
$2.0M
-6%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (T1016 (Case management, each 15 min)) accounts for 55% of total spending.

T1016Normal range

Case management, each 15 min

$6.4M

131K claims · 55.2%

Your Cost: $48.74/claim|Median: $49.62
1.0× median
G9005Normal range

Coordinated care fee, risk-adjusted, ESRD

$2.2M

46K claims · 18.8%

Your Cost: $47.07/claim|Median: $47.08
1.0× median
S5130Normal range

Homemaker service, NOS; per 15 min

$1.5M

16K claims · 13.0%

Your Cost: $92.04/claim|Median: $48.76
1.9× median
S9123Normal range

Nursing care, in the home, by RN, per 15 minutes

$680K

5,096 claims · 5.9%

Your Cost: $133.36/claim|Median: $124.86
1.1× median
S5121Normal range

Attendant care services, in-home, per 15 min

$671K

8,746 claims · 5.8%

Your Cost: $76.69/claim|Median: $111.06
0.7× median
T2003Top 25%

Non-emergency transport; encounter/trip

$85K

2,191 claims · 0.7%

Your Cost: $38.72/claim|Median: $21.70
1.8× median
T1028Normal range

Assessment of home, physical & family environments

$57K

1,427 claims · 0.5%

Your Cost: $40.28/claim|Median: $81.30
0.5× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$8K

379 claims · 0.1%

Your Cost: $21.49/claim|Median: $121.16
0.2× median
T2038Normal range

Community transition, waiver; per service

$4K

283 claims · 0.0%

Your Cost: $13.40/claim|Median: $531.12
0.0× median
T2024Normal range

Supported employment, waiver, per diem

$3K

320 claims · 0.0%

Your Cost: $9.00/claim|Median: $259.38
0.0× median
S9445Top 5%

$1K

15 claims · 0.0%

Your Cost: $99.83/claim|Median: $12.72
7.8× median
83655Normal range

$341

136 claims · 0.0%

Your Cost: $2.51/claim|Median: $10.49
0.2× median
D1206Normal range

Topical application of fluoride varnish

$0

17 claims · 0.0%

Your Cost: $0.00/claim|Median: $18.12